A patient preparing for surgery has moderate anxiety and is unable to understand preoperative information. Which nursing intervention is most appropriate?

Choice A reason: While family support is beneficial, it does not address the patient's immediate cognitive deficit caused by moderate anxiety. The patient's inability to understand preoperative information is a nursing problem that requires a direct pedagogical adjustment by the clinician to ensure informed consent and physical safety before the upcoming surgical procedure. Choice B reason: Providing general statements about staff readiness is a form of non-specific reassurance. It does not help the patient process the necessary preoperative instructions. In moderate anxiety, the perceptual field narrows, and the patient needs concrete, focused information rather than broad, optimistic generalizations about the hospital's capabilities or the recovery process. Choice C reason: Reassurance of staff skill is often perceived as dismissive of the patient's internal state. It fails to address the underlying cause of the anxiety or the immediate need for the patient to comprehend surgical preparations. Such statements do not improve the patient's cognitive focus or their ability to retain the specific medical information required. Choice D reason: Patients with moderate anxiety experience a narrowed perceptual field but can still attend to learning if directed. Using a calm, low-pitched voice and simplifying the information into brief, clear sentences helps the patient focus. Repeating the information ensures that the gaps in comprehension caused by the anxiety are filled effectively and accurately.